RT Journal Article
SR Electronic
T1 A Novel Endovascular Therapy for CSF Hypotension Secondary to CSF-Venous Fistulas
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
DO 10.3174/ajnr.A7014
A1 Brinjikji, W.
A1 Savastano, L.E.
A1 Atkinson, J.L.D.
A1 Garza, I.
A1 Farb, R.
A1 Cutsforth-Gregory, J.K.
YR 2021
UL http://www.ajnr.org/content/early/2021/02/04/ajnr.A7014.abstract
AB SUMMARY: We report a consecutive case series of patients who underwent transvenous embolization of the paraspinal vein, which was draining the CSF-venous fistula, for treatment of spontaneous intracranial hypotension. These are the first-ever reported cases of this treatment for CSF-venous fistulas. All patients underwent spinal venography following catheterization of the azygous vein and then selective catheterization of the paraspinal vein followed by embolization of the vein with Onyx. All patients had improvement of clinical and radiologic findings with 4 patients having complete resolution of headaches and 1 patient having 50% reduction in headache symptoms. Pachymeningeal enhancement resolved in 4 patients and improved but did not resolve in 1 patient. Brain sag resolved in 4 patients and improved but did not resolve in 1 patient. There were no cases of permanent neurologic complications. All patients were discharged home on the day of the procedure.DSMdigital subtraction myelographySIHspontaneous intracranial hypotension